The Network

Your organization has registered you to participate in The Network – congratulations!

We look forward to welcoming you!

We would like to get to know a bit about you before the program launches so please complete this form as soon as possible:

Name*

First Last

Your Email Address*

Your Daytime Phone Number*

Your Job Title*

Your Company or Organization*

How long have you been leading others in the workplace?*

Not yet managing others
Less than 2 years
2 - 5 years
More than 5 years

What level in the organization is your current role?*

I am the senior most person in the organization (CEO, President, Deputy Minister, etc)
I have a boss above me and the people who report to me are leaders/managers themselves.
I have a boss above me and the people who report to me are not managers.
I have a boss above me and I do not yet formally lead others in the organization (though I may lead project teams).

Why are you registering for The Network? What interests you?*

Is there anything else you would like us to know?

Mailing Address*

We like to provide a small gift as part of The Network, which we will mail to you once you are set up in the program. Please provide us with the address where you would like us to send it to you (by mail).

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Coached Peer Programs

The Network – Registration

Coached Peer Programs

Coached Peer Programs

The Network